• 제목/요약/키워드: 금연의 변화단계

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건강 앱 이용자들의 단계적 건강행위변화와 정보탐색행태 (Stages of Change to Health Behavior and Health Information-Seeking Behavior of Health Application Users)

  • 이용정
    • 한국문헌정보학회지
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    • 제51권4호
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    • pp.161-181
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    • 2017
  • 본 연구는 모바일 건강 애플리케이션을 활용하여 건강행위를 변화시키는 건강정보소비자 들이 그 역동적인 단계적 변화에 따라 추구하는 건강정보 탐색행태를 관찰하고자 하였다. 이를 위해 본 연구는 변화단계모형(Stages of change)을 이론적 틀로 사용하여 각 단계에서 나타나는 건강정보소비자들의 인식, 정보요구 및 탐색행태의 변화를 분석하였다. 본 연구에는 총 30명의 대학생 이용자들이 참여하여 3개월 동안 건강 애플리케이션을 사용하면서 금연, 금주, 및 규칙적 운동 등의 건강행위의 변화를 시도하였으며, 그들의 경험을 바탕으로 서면인터뷰를 실시하였다. 연구결과에 따르면, 연구 참여자들은 소셜 미디어와 인터넷을 포함하여 다양한 정보원을 사용할 뿐 아니라 정보요구에 따라 상이한 정보원을 탐색했다. 특히, 실행단계에 접어든 소비자들의 본격적인 건강 앱 활용에서 나타나는 정보요구와 정보탐색행태는 특별히 건강 앱을 통한 건강정보서비스의 함의를 시사한다. 또한, 행위변화를 시행하면서 경험하는 스트레스 관리와 퇴보(relapse), 그리고 행위변화의 긍정적 및 부정적 효과는 건강정보제공자에게 소비자의 건강행위변화를 지원할 수 있는 통찰력을 제공한다.

건강행위시행 변화단계에 따른 의사결정의 균형: 운동, 금연, 유방조영술 검진, 질회음근 강화운동을 중심으로 (A study of the Stage of Change and Decisional balance : Exercise Acquisition, Smoking Cessation, Mammography Screening and Kegel's Exercise Acquisition in Korea)

  • 장성옥;박영주;박창승;임여진
    • 대한간호학회지
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    • 제30권5호
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    • pp.1265-1278
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    • 2000
  • This study was carried out to assess the perception of decisional balance of Korean subjects about 4 health behaviors and to identify the influencing factor of decisional balance for exercise acquisition, smoking cessation, mammography screening and Kegel's exercise acquisition. All are representative health behaviors nurses can intervene in Korea based on the Transtheoretical model. Convenient samples of 2,484 subjects (191; exercise, 169; smoking cessation, 1903; mammography screening and 221; Kegel's exercise) were selected from cities and counties over 9 provinces throughout Korea, and the data was collected from January 1, 1999 to February 29, 2000. The research instrument were the Decisional Balance Measure for Exercise (Marcus & Owen., 1992), Smoking Cessation (Velicer et al., 1985), Mammography Screening (Rakowski et al.,1992) and Kegel Exercise (Lim, 1999) and Stage of Change Measure for Exercise (Marcus et al, 1992), Smoking Cessation (DiClemente et al., 1991), Mammography Screening (Rakowski et al.,1992) and Kegel's Exercise (Lim, 1999). The data was analyzed by the SAS Program. The results are as follows; 1. According to the stage of change measure, 2,484 subjects were distributed in each stage of change for four health behaviors: 1,233 subjects (49.8%), 745 subjects (30.2%), 113 subjects (4.7%), 156 subjects (6.5%), and 216 (8.7%) belonged to the pre- contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage. They were all series of stages of change in their efforts to do health behavior. 2. Factor analysis identified 3 factors (1 of Pros, 2 of Cons) for the exercise, 4 factors for smoking cessation (2 of Pros, 2 of Cons), 2 factors (1 of Pros, 1 of Cons) for the mammogram screening and 2 factors (1 of Pros, 1 of Cons) for Kegel's exercise of decisional balance. 3. The analysis of variance and multiple comparison analysis showed that for all 4 samples, the Cons of changing the problem behaviors outweighed the Pros for subjects who were in the pre- contemplation stage, The opposite was true for subjects in action and maintenance stage. 4. Through the discriminant analysis, it was found that one factor of Pros for exercise, one factor of Cons for smoking cessation, 1 factor of Cons for mammogram screening and one factor of Cons for Kegel's exercise were the more influencing factors, than others in discriminating the stages of change. Results are consistent with the applications of the Transtheoretical model, which have been used to understand how people change health behaviors. This results provide some evidence that subject's report of his/her health behavior corresponds to beliefs about usefulness of related health behaviors. The results of this study have implications for patients' health education and health intervention strategies. The findings of this study give useful information for nursing educators for 4 health behaviors, especially the factors relating to decision making in the different stages of change.

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학술정보유통을 위한 레포지터리 적용 방안 연구 (A Study on Repository Construction Scheme for Scholarly Communication)

  • 장금연
    • 한국문헌정보학회지
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    • 제38권4호
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    • pp.291-310
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    • 2004
  • 기관 레포지터리는 각 기관의 지적 자산에 대하여 통합적인 수집, 관리, 보존 및 접근을 제공함과 동시에, 전세계적인 "Knowledge Bank"의 일부분으로써 지적 자산을 분배, 교환할 수 있는 장을 제공하기 위한 전략의 하나로써 고려되고 있다. 국내 기관 레포지터리의 대표적인 구축 사례로는 한국교육학술정보원(KERIS)의 "dCollection(국가지식생성및유통체계)" 사업을 소개하였다. 본 연구는 국내 대학이 기관 레포지터리를 안정적으로 적용하기 위한 과제들을 추출하였다. 본 연구의 결과는 국내 대학도서관이 기관 레포지터리를 구축하기 위한 단계별 전략으로 이용되어 현행 학술 커뮤니케이션에 대한 전적인 변화를 초래할 것으로 기대된다.

중년 흡연남성의 금연 변화단계에 따른 의사결정 균형에 대한 연구 (Decisional balance corresponding to the Stage of Change of Smoking Cessation in Middle Aged Men)

  • 장성옥;박창승;민인선
    • 기본간호학회지
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    • 제7권2호
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    • pp.164-176
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    • 2000
  • Purpose : This study was done to identify the factors of decisional balance for smoking cessation among middle aged men in Korea. This was composed of a set of variables at the level of decision making when middle aged men decide to stop smoking. It was used to classify and identify the characteristics of the stages of change for smoking cessation to which the middle aged men belong, and was used to identify the variables of decisional balance which influenced the stages of change for smoking cessation in middle aged men. Methods : A convenience sample of 169 men who had smoked and were smoking, were between age 30 and 60 and lived in Seoul(mean age=44), were selected from the community. The data was collected from December 10, 1999 to February 28, 2000. The research instrument was the Decisional Balance Measure for Smoking Cessation (Velicer et al., 1985). and Stage of Change Measure(DiClemente et al., 1991). The data were analyzed using the SAS Program. Results : 1. According to stage of change measure, the 169 subjects were distributed in each stage of change for smoking cessation: in the pre-contemplation stage 63 subjects(32.7%), contemplation stage 60 subjects (35.5%), preparation stage 17 subjects(10.1%), and maintenance stage 29 subjects(17.2%). 2. Factor analysis identified 4 factors of decisional balance as appropriate factors for smoking cessation of middle aged men. There were named by the researchers; 1)'Perceived Burden to Self', 2)'Perceived Benefit to Others' 3)'Perceived Approval to Others', and 4)'Perceived Disapproval to Self'. 3. Analysis of variance showed that the three components, 1)'Perceived Burden to Self(F=8.50, P=.0001)', 2)'Perceived Benefit to Others(F=3.19, P=.025)' and 3)'Perceived DisApproval to Self(F=2.87, P=.038)were significantly associated with stage of change. 4. Through discriminant analysis, it was found that 'Perceived Burden to self' was the most influential variable in discriminating the four stages of change(pre-contemplation, contemplation, preparation, and maintenance). Conclusion : The results are consistent with the application of the Transtheoretical model, which has been used to understand how people change health behavior. Even though this study is a cross-sectional, not a longitudinal study, the findings of this study give useful information for smoking cessation intervention for the middle aged men.

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범이론적 모형 (Transtheoretical Model)에 근거한 청소년의 금연변화단계 예측요인 (Predictors of Stage of Change for Smoking Cessation among Adolescents based on the Transtheoretical Model)

  • 김정순;정인숙;천병철;박남희
    • Journal of Preventive Medicine and Public Health
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    • 제36권4호
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    • pp.377-382
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    • 2003
  • Objectives : The purpose of this study was to investigate the predictor associated transitions with each stage of smoking cessation based on the Transtheoretical Model, and to provide basic data for smoking cessation programs for adolescents. Methods : The participants were 297 current and former smokers, obtained from stratified random sampling of 2nd graders from 127 high schools in B cities. The data were collected between April 6th and 16th 2002, using a structured self-report questionnaire, and analyzed using a multiple logistic regression, with the SPSS program for Windows (Version 10.0). Results : The predictors of transition from precontemplation to contemplation were consciousness raising (OR=1.22, 95% CI:1.07-1.40), coping pros (OR=.84, 95% CI:.70-1.00) and attitude of parents to smoking (OR=2.97,95% Cl: 94-9.24). The predictors of transition from contemplation to preparation were helping relationships (OR=.83, 95% CI:.72-.96), self-liberation (OR=1.15, 95% CI: 99-1.33) and nicotine dependence (OR=.76, 95% CI: 56-1.03). The only predictor of transition from preparation to action was the social pros (OR=.66, 95% CI:.57-.82). The predictors of transition from action to maintenance were self-reevaluation (OR=.81, 95% CI:.71-.92) and negative affective situation (OR=.85, 95% CI:.72-1.00). Conclusion : Adequate examination on the factors for predicting the transitional stages of change for smoking cessation in Koreans are presented in this study. The results of this study will become the pillar of smoking cessation Planning and application programs.

모바일 개인건강기록(Personal Health Records: PHR) 어플리케이션의 이용이 소비자 건강행태에 미치는 영향 (The Effects of a Mobile Personal Health Records (PHR) Application on Consumer Health Behavior)

  • 이용정
    • 정보관리학회지
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    • 제33권4호
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    • pp.7-26
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    • 2016
  • 본 연구는 모바일 개인건강기록(Personal health record: PHR) 어플리케이션의 장단점을 분석하고 그 어플리케이션의 사용이 소비자 건강정보행태에 미치는 영향을 파악하고자 하였다. 본 연구를 위해 총 27명의 대학생들이 3개월 동안 PHR 어플리케이션을 사용하였으며, 그 경험을 바탕으로 서면인터뷰를 실시하였다. 내용분석 결과, 시각적 인터페이스를 통한 예방 차원의 건강관리 및 건강 향상을 위한 동기부여와 구체적 가이드라인의 제공, 가족과의 데이터 공유 및 간병인(caregiver)의 환자 건강관리지원, 무엇보다도 환자와 의료전문가와의 상호작용 강화 등이 PHR의 혜택으로 부각되었다. 반면 근력운동과 같은 콘텐츠의 미비 내지는 타 기기와의 호환성 미흡 등이 문제점으로 지적되었다. PHR의 도움으로 건강을 향상시키고자 하는 소비자들은 감정적 지원을 받는가 하면, 수면장애극복, 금주, 금연, 그리고 체중감량 및 식습관의 변화 등 건강행태를 변화시키고자 하는 동기부여가 생겼으며, 실제로 건강행태의 변화를 성취함으로써 자기효능이 증가하기도 하였다. 본 연구는 국내 연구에서는 도입단계인 PHR에 대한 연구를 시도했다는 것에 학문적 의의가 있으며, 헬스케어분야의 패러다임 변화에 대응하기 위한 건강 및 의료정보서비스를 모색하는데 통찰력 있는 시사점을 제공한다.